Active NPI
Mayra Rodriguez
- Social Worker
- North Hollywood, CA
National Provider Identifier
1679059471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 136993
- Practice address
- 6400 Laurel Canyon Blvd Ste 500
North Hollywood, CA 91606-1562 - Phone
- (818) 901-4879
- Fax
- (818) 997-1370
- NPI assigned
- Jul 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 136993 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
6400 Laurel Canyon Blvd Ste 500
North Hollywood, CA 91606-1562
Mailing address
6400 Laurel Canyon Blvd Ste 500
North Hollywood, CA 91606-1562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136993 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1679059471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 LAUREL CANYON BLVD STE 500",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916061562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 LAUREL CANYON BLVD STE 500",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916061562",
"telephone_number": "818-901-4879",
"fax_number": "818-997-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MAYRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-14",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "136993",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.